Pedorthic Footcare Association

Diabetic Series - Session 08: Custom Diabetic Accommodative Orthoses

	1/3/2024
When:	Wednesday, January 3rd, 2024 9am-11am EST
Where:	Online United States
Contact:	Laura Vargas l.vargas@pfabod.org (229) 389-3440

Online registration is closed.

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Diabetic_Foot_Sessions

The Diabetic Wound Prevention, Management, Healing Series

PFA's Global Mission: "End footwear related ulcers, wounds and amputations."

VIDEO PREVIEWS:

	VIEW Series Preview: You can now view the series preview for the Diabetic Series on PFA's YouTube channel!
	VIEW Diabetes Stats: You can now view Diabetic Stats on PFA's YouTube channel!
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PRESENTED by:

Pedorthist Foot and Ankle Academy (PFAA) and Pedorthic Footcare Association (PFA), Giuseppe Lombardo CPed, PFA President, Robert S. Schwartz CPed, PFA Executive Director

These sessions will detail and provide in-depth presentations of the most important and proven methods to preventing, managing and healing the diabetic foot. These sessions will enhance your abilities in the care and treatment of the diabetic foot, providing detailed ways to achieving optimal outcomes.

Each session will include a presentation as well as an opportunity for questions & answers.

TIME: The first Wednesday of each month. SESSION 01 begins on Wednesday, June 7th, 2023 to SESSION 10 on March 6th, 2024 from 9:00–11:00 am, EST.

LAST DAY TO REGISTER for the LIVE WEBINAR of SESSION 2 is 7/5/23.

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IMPORTANT INFO:

If you are registering for the FULL SERIES you can register in the form under "Attendee Selections".

If you have already registered for the FULL SERIES, you do not need to register for individual sessions.

	NOTE: If you miss any of the LIVE webinars, each session will be available at PFA's LMS website one week after live event.
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COST:

Single Session: $95 Member; $195 Non-Member
Full Series (10 sessions): $495 Member; $995 Non-Member

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CEUs:

FULL Series (10 sessions):

20 CEUs for the entire program

19.75 CEUs for the entire program

SINGLE Sessions:

2.0 CEUs per session

2.0 CEUs per session

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SESSION Sponsors



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SESSION Speakers

PRESENTER: Robert Schwartz, C.Ped PFA Executive Director President Eneslow Shoes & Orthotics contact: email Speaker Bio Speaker Bio × Robert Schwartz is the President and CEO of Eneslow Pedorthic Enterprises which operates Eneslow Shoes and Orthotics, Eneslow Pedorthic Institute (EPI), and Eneslow.com. Eneslow, founded in 1909, is the fulfillment of Schwartz’s vision to offer people footwear that provides the benefits of style, comfort, and healthy living. Mr. Schwartz is currently an adjunct instructor in the department of orthopedic sciences at the New York College of Podiatric Medicine. He has been a faculty member of the pedorthic programs at Ball State University, Florida International University, Hospital for Special Surgery, New York University Medical Center, Northwestern University, Staten Island University, Shoe Service Institute, UCLA, and others. Mr. Schwartz is a past president (1986-1988) of the Pedorthic Footcare Association (PFA). He served on the board as Chair of their Pedorthic Educator’s Committee from 1985 to 1992, and 2009 to 2010. He currently serves on the Pedorthist Foot & Ankle Academy and as the Exercutive Director for PFA.	PRESENTER: Dr. Josh White, DPM, C.Ped Vice President, Orthofeet contact: email Speaker Bio Speaker Bio × Podiatry Specialist in New York, NY, and has over 33 years of experience in the medical field. Graduated from California College of Podiatric Medicine in 1989. Dr. White has long combined interests in foot care and shoes.Selected as one of the most influential podiatrists in the US. He created SafeStep which offered a proprietary, web-based program that streamlined shoe ordering with the guaranteed assurance of Medicare compliance. Dr. White serves on an American Podiatric Medical Association committee that addresses matters relating to durable medical equipment and is a Codingline Expert Panelist. He is a three-time Ironman triathlon finisher.	PRESENTER: April Wilson, BS, CMPTA, CKTP, CCI National Clinical Educator Footcare, medi USA contact: email Speaker Bio Speaker Bio × April Wilson CM PTA, BS, CKTP, Cl is a licensed Physical Therapist Assistant with over 20 years of clinical experience treating inpatient and outpatient orthopaedics, wound care and sports related injuries. April's focus of treatment has been lower extremities with specialization in orthotics, kinesio taping and recommendations of footwear. She is certified in manual physical therapy, a clinical instructor and a certified kinesio tape practitioner. Areas of interest for April are lower extremity biomechanical dysfunctions. Her primary role is the National Clinical Educator of Foot Care and Orthopaedics for Medi USA.
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PRESENTER: Teresa Alpert, CO Orthotics - UC Health Foot & Ankle Center contact: email Speaker Bio Speaker Bio × Teresa Alpert is the Orthotist on Faculty at the University of Colorado, Foot and Ankle Center. Early on in her Orthotist training she realized that there was a need for more Pedorthic education. She attended Ball State after completing her orthotic training at Northwestern. Teresa is an industry leader and mentor. Past President of BOC, Educational Chair of NSRA and Board Member of PFA, Teresa has attended numerous speaking engagements and led many education programs. Teresa is on the Executive Committee for PFA and is a committee member of the Pedorthist Foot and Ankle Academy.	PRESENTER: Séamus Kennedy, BEng(Mech), CPed, FAAOP(A) Owner - Hersco Labs contact: email Speaker Bio Speaker Bio × Seamus Kennedy is co-owner of Hersco Ortho Labs, New York, New York, along with his younger brother, Cathal. Seamus oversees and is a presenter for the pedorthics education program at the American Academy of Orthotists and Prosthetists (the Academy) Annual Meeting & Scientific Symposium; he has authored and been interviewed for many articles related to pedorthics and foot and lower-limb biomechanics; he speaks regularly on the manufacturing and fitting of custom shoes and orthotics; he is called upon by OP&P practitioners and physicians to consult or help with unusual cases; and he is a member of The O&P EDGE Editorial Advisory Board. Seamus sits on the board of the nonprofit Pedorthic Foundation and is currently working with the New York College of Podiatric Medicine, New York, to help develop its new pedorthic program. He is also on the committee of the Pedorthist Foot and Ankle Academy. Seamus and his brother have grown Hersco from a staff of two to a staff of 21, expanded into central fabrication, purchased a molded shoe company, developed a line of ankle gauntlets, and become a Richie Brace partner.	PRESENTER: Giuseppe Lombardo, C.Ped President - Pedorthic Footcare Association (PFA) Owner - Lombardo’s Comfort & Casual Shoes contact: email Speaker Bio Speaker Bio × Giuseppe Lombardo has been a certified pedorthist since 1996. Prior to working as a C.Ped, Giuseppe worked as a carpenter, and served with the military working on large jet aircraft. Eventually, Giuseppe returned to his family footwear business. During the early part of the 20th century, Lombardo’s great-grandfather, grandfather and uncles began making horse saddles and other leatherwork items which eventually lead them into the repair and modification of shoes. The skills and abilities were passed down to Giuseppe and his sister Elsa. Originally from New York, Giuseppe and Elsa currently run Lombardo’s Comfort & Casual Shoes in Ocala Florida. Giuseppe works with doctors and shoe companies worldwide stating, “We do what we can to get people into shoes that are right for them…bringing generations of experience… providing them the ability to walk with ease and comfort.” Giuseppe is currently the President of Pedorthic Footcare Association and embodies the core principle of PFA, “Pedorthists supporting you, first step to last!”.
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PRESENTER: Bryan Groleau COTA/L, CLT-LANA, CLWT, WCC, LLE Diector of Clinical Education at medi USA contact: email Speaker Bio Speaker Bio × Bryan Groleau has been a lymphedema and wound therapist since 2003 with experience in breast cancer related lymphedema and axillary web syndrome; lower extremity obesity-related lymphedema and lipedema; head, neck, and facial lymphedema; wound care; stage III elephantiasis; geriatric mixed edemas; lymphatic filariasis; and lymphedema in the home health setting. Throughout his career, Bryan has treated extensively in both outpatient and home care settings and managed teams of lymphedema and wound therapists for multiple clinics and home health agencies. Currently, Bryan is the Director of Clinical Education for mediUSA and also serves on the medi for help medical missions project to treat and educate on lymphedema and wound care for those with lymphatic filariasis in Léogâne, Haiti. Educating clinicians on advanced lymphedema and wound care is a passion of Bryan’s.	PRESENTER: Garret Moore, DPM, DABPM University of Colorado Anschutz Medical Campus Co-Director of the Wound and Ostomy Care clinic contact: email Speaker Bio Speaker Bio × Dr. Garrett Moore is a Podiatrist and Wound Care specialist. He is Fellowship trained in Podiatric Wound Care and Diabetic Foot Research and is Board Certified by the American Board of Podiatric Medicine with a Certificate of Additional Qualification in Amputation Prevention and Wound Care. Dr. Moore works at the University of Colorado Anschutz Medical Campus as the Co-Director of the Wound and Ostomy Care clinic. He is the proud father of two and has been happily married for 20 years.	PRESENTER: Brett Boger, C.Ped Owner - Boger's Shoes contact: email Speaker Bio Speaker Bio × Brett Boger and his wife Erika are co-owners of Boger’s shoes in Jacksonville Florida. Brett has been in the shoe industry for over fifteen years, becoming a Certified Pedorthist in 2009. Brett and Erika became the third-generation owners in 2015. Boger’s Shoes has been providing our customers with quality footwear since 1957. As a family–owned business, Boger Shoes understand the importance of personal attention and top-notch customer service. The aim of Boger Shoes is to ensure that their client’s specific issues are addressed, leave satisfied with their purchase and with their overall experience.
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PRESENTER: Lew Schon, MD Institute for Foot and Ankle Reconstruction, Mercy Medical Center contact: email Speaker Bio Speaker Bio × Dr. Lew Schon has been a foot and ankle surgeon for more than 25 years. During that time, his patients have included people of all ages, athletic abilities, and walks of life. As a foot and ankle specialist, Dr. Schon treats traumatic injuries, overuse injuries, tendon injuries, ligament disorders, joint disorders, rheumatic conditions, and deformities in adults at Joan H. and Preston Robert Tisch Center at Essex Crossing. In addition, Dr. Schon also treats congenital conditions in children at Hassenfeld Children’s Hospital at NYU Langone and also performs total ankle replacements. Being focused on ankle and hindfoot arthritis, Dr. Schon invented an artificial ankle joint that corrects deformity and restores function. Dr. Schon’s clinical work drives his biomechanical and basic science research, having researched nearly every condition that affects the foot and ankle. Having published more than 180 peer-reviewed papers and 110 other publications, Dr. Schon trained approximately 500 students, researchers, residents, and fellows worldwide. Dr. Schon is a former president of the American Orthopaedic Foot and Ankle Society (AOFAS) and a consultant to professional and collegiate sports teams and dance companies. Dr. Schon is also a co-inventor of several medical devices used to help treat challenging musculoskeletal conditions. Dr. Schon has earned numerous awards, including the 2012 Johns Hopkins University Professors Award for Excellence in Teaching, and many more. Dr. Schon has also been made an honorary member of the German Foot and Ankle Society and the Israeli Foot and Ankle Society and currently serves as medical advisor of Pedorthic Footcare Association (PFA).	PRESENTER: James McGuire, PT, DPM, CPed, FAPWHc Temple University School of Podiatric Medicine - Foot and Ankle Institute contact: email Speaker Bio Speaker Bio × James McGuire, DPM, PT, is a specialist other healthcare providers turn to for wounds that threaten the viability of a limb. For more than 30 years he has been at the forefront of treating diabetic wounds, with a strong record of salvaged limbs and low amputation rates. Dr. McGuire pioneered the ABCESS approach to wound management, introduced transitional off-loading for wound care, lectures here and abroad on diabetic foot management, and is known globally for innovative wound healing. Many FDA-approved innovations were used at Temple first thanks to Dr. McGuire. He is currently evaluating hypochlorous acid—a game-changer in wound bioload management that kills most bacteria that inhabit chronic wounds. He is also leading a grant to study a new placental tissue-based graft with active stem cells for the healing of venous leg ulcers. Dr. McGuire does his best for every patient, every time. He is continually seeking breakthroughs to help patients heal.	PRESENTER: Robert Orr, CPed Shoe Fly Shoe Inc. contact: email Speaker Bio Speaker Bio × Robert Orr is the Corporate Pedorthic Facilitator for Shoe Fly Shoe Inc and currently facilitates the growth of a dozen pedorthists and their practices. The Shoe Fly has 18 stores located in Pennsylvania, Maryland and Virginia. Rob completed his pedorthic certification through Temple University in 2002 and has over 30 years in the retail shoe business. Rob has taught individual classes at St. Francis University, Penn State Altoona campus, and Eneslow Pedorthic Institute. Rob's passion is to find, implement, and then expand channels for pedorthic practices in the retail environment.
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PRESENTER: T. Jay Kleeman, MD University of Colorado School of Medicine, Department of Orthopedic Surgery contact: email Speaker Bio Speaker Bio × Dr. Jay Kleeman is a fellowship-trained orthopedic foot and ankle specialist. He spent the first 20 years of his career in private practice, in Connecticut, and joined the University of Colorado School of Medicine, as an Assistant Professor, in the Department of Orthopedic Surgery, in December 2020. Dr. Kleeman grew up in Connecticut and did his undergraduate training at Dartmouth College. He returned to his home state for medical school at the University of Connecticut. He did an internship and residency, in orthopedic surgery, at the University of Maryland, in Baltimore. He then did his orthopedic foot and ankle fellowship, in Baltimore, with Drs. Mark Myerson and Lew Schon, both past American Orthopedic Foot and Ankle Society presidents, completed his training in 2000. Dr. Kleeman believes that no matter how well-trained or skilled a surgeon is, it is vitally important that each patient be engaged in their own treatment whether it be operative or nonoperative. Even complex concepts should be explained so that the patient understands their disease process and treatment options. Only then can the doctor and patient jointly decide how to move forward with a plan that fits the patient’s needs and lifestyle. In his free time, Dr. Kleeman enjoys spending time with his wife and family. He enjoys hiking, skiing, fly fishing, golfing, and motorcycle riding.	PRESENTER: Erick Janisse, CO, CPed Corporate Trainer DJO/Dr. Comfort Footwear contact: email Speaker Bio Speaker Bio × Erick Janisse, CO, CPed is a corporate trainer with DJO/Dr Comfort Footwear. He has over 25 years of experience in patient care and is a respected educator and author. He has served as invited faculty for courses and symposia presented by the American Orthopedic Foot and Ankle Society, Washington University School of Medicine and Scott and White Healthcare. Mr. Janisse is a past member of the PFA Board of Directors and past co-chair of PFA’s Council on Pedorthic Education.
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SESSION Description

SESSION 01: Diabetic Foot Disorder
(June 7th, 2023 - 9am-10:30am EST)

Missed this Session?

If you attended the LIVE webinar, may review the recording here: SESSION Recording
Please email if you have not received your access code: PFA Learning

PRESENTERS:

Giuseppe Lombardo, C. Ped
Robert Schwartz, C.Ped
Dr. Josh White, DPM, C.Ped
April Wilson, BS, CMPTA, CKTP, CCI

OBJECTIVES:

Classifications, Risks, Pressure, Shear
Diabetic Conditions that Affect the Foot
Multi-disciplinary Team Approach

DESCRIPTION: Participants will learn how diabetes causes neuropathy, how ulcers occur and necessitate amputation and the prevention of diabetic foot complications.

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SESSION 02: Biomechanical Objectives, Strategies, Assessment & Treatment
(July 5th, 2023 - 9am-11am EST)

Missed this Session?

If you attended the LIVE webinar, may review the recording here: SESSION Recording
Please email if you have not received your access code: PFA Learning

PRESENTERS:

Giuseppe Lombardo, C. Ped
Robert Schwartz, C.Ped
Dr. Josh White, DPM, C.Ped
April Wilson, BS, CMPTA, CKTP, CCI

OBJECTIVES:

Pedorthic Assessment
Footwear Forensics
Footwear and orthotics features and benefits

DESCRIPTION: This session will focus on the effects of pressure and shear on comfort, balance, alignment, posture, and gait. This includes biomechanical objectives, strategies & plans to relieve shear and pressure.
Through pedorthic assessment and “Footwear Forensics”, we will identify footwear and orthotic selection features and benefits for the diabetic patient.

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SESSION 03: Biomechanical and Pedorthic Assessment—Footwear Forensics: Footwear, Orthotics, AFO's, Compression Therapy, Prescriptions, Fit & Design
(August 2nd, 2023 - 9am-11am EST)

Missed this Session?

If you attended the LIVE webinar, may review the recording here: SESSION Recording
Please email if you have not received your access code: PFA Learning

PRESENTERS:

Giuseppe Lombardo, C. Ped
Robert Schwartz, C.Ped
Séamus Kennedy, BEng(Mech), CPed, FAAOP(A)
Bryan Groleau, COTA/L, CLT-LANA, CLWT, WCC, LLE

OBJECTIVES:

Assess historical factors, malalignments, and imbalances-to-date.
Prescribe and provide optimum product selection and guidance for functional, and lifestyle needs.
Best-practice shoes, orthotics, hosiery: selection, fit and function, features, benefits, materials, and designs.
Optimize comfort, balance, alignment, posture, and gait.

DESCRIPTION:
This session will remind practitioners of how diabetes affects feet and lower extremities.
   The focus will be on the assessment principles and action-plan to prevent, manage and heal.
   There will also be a review of existing footwear and related devices and how they relate to existing or potential disorders.
   The session will conclude with the recommended footwear tools and action plan to improve.

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SESSION 04: Filling Pedorthic Rx Treatment Plan: Product selection and fitting - Completion - Delivery - Documentation - Follow-up
(September 6th, 2023 - 9am-11am EST)

Missed this Session?

If you attended the LIVE webinar, may review the recording here: SESSION Recording
Please email if you have not received your access code: PFA Learning

PRESENTERS:

Giuseppe Lombardo, C. Ped
Robert Schwartz, C.Ped
Teresa Alpert, CO, C.Ped, PMAC

OBJECTIVES:

Pedorthic Assessment & Footwear Forensics

Shoe, hosiery and orthotic fit and function
Standing, walking, subjective findings, wear patterns

PATIENT EDUCATION, goals and follow up regimen.
Reduce shear, friction and pressure to prevent ulceration.
Rx prescriber, patient, pedorthist, communication, The Team Approach.

DESCRIPTION:
This session will focus on Pedorthic Treatment Goals: Help relieve pain, improve comfort, balance, posture, energy, stamina, and gait for the diabetic patient.
The session will conclude with the recommended footwear tools and action plan to improve.

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SESSION 05: Diabetic wound offloading - Footwear Customization - Orthoses / Shoe-Modifications / Providing Solutions
(October 4th, 2023 - 9am-11am EST)

Missed this Session?

If you attended the LIVE webinar, may review the recording here: SESSION Recording
Please email if you have not received your access code: PFA Learning

PRESENTERS:

Giuseppe Lombardo, C. Ped
Robert Schwartz, C.Ped
Teresa Alpert, CO, C.Ped, PMAC
Dr. Garret Moore, DPM
Brett Boger, C.Ped

OBJECTIVES:

Wound Care Prevention and treatment Basic Practices and Offloading

Recognize basic types of foot disorders and risk for wounds
Address basic and advanced healing techniques
Offload diabetic foot wounds
Discuss when the patient should be referred to a medical specialist

Diabetic Orthotics and Footwear Modifications

Materials and designs best practices
Placement and Fitting
Follow-up with patient

DESCRIPTION: This session will focus on wound care prevention and treatment best practices and offloading of the diabetic foot. Footwear modifications of diabetic patients focusing on fitting, offloading to help relieve pain, improve comfort, balance, posture, energy, stamina, and gait including recommended footwear tools and action plan to improve.

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SESSION 06: Diabetic Neuropathic Lesions (Ulcers) and Charcot Feet
(November 1st, 2023 - 9am-11am EST)

Missed this Session?

If you attended the LIVE webinar, may review the recording here: SESSION Recording
Please email if you have not received your access code: PFA Learning

PRESENTERS:

Giuseppe Lombardo, C. Ped
Robert Schwartz, C.Ped
Teresa Alpert, CO, C.Ped, PMAC
Dr. Lew Schon, MD

OBJECTIVES:

Prevention of an initial or subsequent Diabetic Neuropathic foot lesion is crucial to avoiding amputation.
Make use of a team of multidisciplinary professionals who are committed to limb salvage.
Patient education.
Regular foot-care examinations.
Therapeutic shoes with pressure-relieving insoles.

DESCRIPTION:

Prevention of an initial or subsequent foot lesion is crucial to avoiding amputation. The best approach is to make use of a team of multidisciplinary professionals who are committed to limb salvage. Centers that have instituted teams specifically for this purpose have subsequently reported dramatic reductions in lower-extremity amputation and improved rates of primary-ulcer healing.
   Patient education has a central role in treatment and should include instruction on foot hygiene, daily inspection, proper footwear, and the necessity of prompt treatment of new lesions.
   Regular foot-care examinations, including debridement of calluses and ingrown toe-nails, provide an opportunity to reinforce appropriate self-care behaviors and allow for early detection of new or impending foot problems.
   Therapeutic shoes with pressure-relieving insoles are an essential element of ulcer prevention and have been associated with significant reductions in their development.

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SESSION 07: Footwear for Diabetic Foot Disorders
(December 6th, 2023 - 9am-11am EST)

Missed this Session?

If you attended the LIVE webinar, may review the recording here: SESSION Recording
Please email if you have not received your access code: PFA Learning

PRESENTERS:

Giuseppe Lombardo, C. Ped
Robert Schwartz, C.Ped
Teresa Alpert, CO, C.Ped, PMAC
James McGuire, PT, DPM, CPed, FAPWHc
Rob Orr, C.Ped

OBJECTIVES:

Providing footwear to help "end footwear related ulcers and amputations"; Pedorthists: “first responders”.
Utilize pedorthic and biomechanical features and benefits, indications, and contraindications.
Improve foot function for their lifestyles, activities, seasons.

DESCRIPTION:
Footwear selection criteria includes:

Last and foot/shoe size fittings, heel heights, flares and other support feature, rockers, stretch uppers, alternative closures.
Based on their lifestyles, activities, seasons problems and solutions.
Customization, internal, external. forefoot, midfoot, rearfoot. low quarter, mid chukka, high top.
Footwear to fit with heat molding inserts, custom molded inserts.
Socks, hosiery, compression. Ancillary problem-solving products.
Most people with diabetic foot disorders buy over-the-counter products for their disorders like everyone else.

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SESSION 08: Custom Diabetic Accommodative Orthoses
(January 3rd, 2023 - 9am-11am EST)

PRESENTERS:

Giuseppe Lombardo, C. Ped
Robert Schwartz, C.Ped
Teresa Alpert, CO, C.Ped, PMAC
T. Jay Kleeman, MD
Erick Janisse, CO, C.Ped

OBJECTIVES:

Offloading pressure and shear using materials and designs to prevent ulcers and amputations of the Diabetic Foot.

DESCRIPTION:

Orthoses in combination with footwear, gait and regimen training, and lifestyle choices provides the basis for a successful diabetic foot treatment plan. The multi-team approach is emphasized to accomplish the goal of prevention and healing.